Fatigue management experiences from women undergoing chemotherapy: self-care strategies

Abstract

Objective: In order to understand the experiences of women with breast cancer managing fatigue due to chemotherapy with the use of non-pharmacological strategies. Methods: Explanatory study, qualitative, with theoretical reference of medical anthropology and resources of the ethnographic method for data collection; in which four women took part. Thematic analysis was performed based on interviews and conducted observations. Results: Three strategies of self-care, resulted from the culture were used for physical fatigue management: rest, energy conservation and eat habits. Physical activities, contact with plants and religiosity were constituted as practices to deal with emotional fatigue. We understand that the meaning attributed to the use of non-pharmacological strategies was the possibility of feeling capable, confident and able to continue treatment. Conclusions and implications for practice: These woman’s experiences revealed the following necessities, the use of specific strategies to deal with fatigue, as well as the appreciation and understanding of their singularities and cultural practices present in their contexts. In the nursing care, it is possible to associate these practices with scientific knowledge and thus complement the care in favor of an integral care.

Cancer patient satisfaction regarding the quality of information received: psychometric validity of EORTC QLQ-INFO25

“…People who declared themselves "at home" expressed that the information received during treatment was not useful enough. One of the possibilities to explain this finding is in the social representation of these women of already having full control over disease care, since they are exclusively responsible for family care (25) .…”

Satisfação do paciente com câncer sobre a qualidade da informação recebida: validação psicométrica do EORTC QLQ-INFO25

“…As pessoas que se declararam "do lar" expressaram que as informações recebidas durante o tratamento não foram suficientemente úteis. Uma das possibilidades para explicar esse achado está na representação social dessas mulheres de já possuírem domínio pleno sobre os cuidados na doença, uma vez que se ocupam, exclusivamente, do cuidado da família (25) .…”